摘要
目的:探讨数字化外科技术结合3D打印导板在颌面部骨折手术中的应用研究。方法:选取2019年6月至2023年6月解放军总医院第一医学中心口腔外科收治的40例颌面部骨折患者,依据手术方式的不同将其分为观察组(18例)和对照组(22例),观察组使用数字化技术结合3D打印技术辅助实施手术,对照组使用常规颌面部骨折切开复位内固定手术。观察并比较两组患者的手术时间、出血量、并发症、满意度评价情况。结果:所有患者切开复位手术治疗后均得到临床治愈,观察组的手术时间(2.01±0.52)h、术中出血量(123.89±67.31)ml,显著低于对照组,差异有统计学意义(U=62.000、26.500,P<0.05)。并发症发生率中,观察组面神经损伤显著低于对照组,差异有统计学意义(x^(2)=4.675,P<0.05);两组感染和张口受限比较差异无统计学意义(P>0.05)。观察组满意度问卷调查中的外貌满意度(8.89±0.758)分与对照组(7.73±0.827)分比较差异有统计学意义(U=66.000,P<0.05),而咀嚼和语言方面两组比较差异均无统计学意义(P>0.05)。结论:数字化技术联合3D打印导板在颌面部骨折手术中具有较好的临床指导效果,可显著改善手术疗效,降低并发症发生率,获得更高的患者满意度,值得临床应用。
Objective:To explore the applied therapeutic effect of digital surgical technique combined with three dimensional(3D)printing guide plate in surgery of maxillofacial fracture.Methods:A total of forty patients with maxillofacial fracture who admitted to the Department of Stomatology at the First Medical Center of Chinese PLA General Hospital from June 2019 to June 2023 were selected.They were divided into an observation group(18 cases)and a control group(22 cases)based on different surgical methods.The observation group used digital technique combined with 3D printing technique to conduct surgery by auxiliary method,and the control group used routine open reduction and internal fixation surgery for maxillofacial fracture.The surgical time,bleeding volume,complications and satisfaction evaluation between two groups of patients were observed and compared.Results:All patients obtained clinical cure after open reduction and internal fixation surgery,and the surgical time(2.01±0.52)h and bleeding volume(123.89±67.31)m L during surgery of observation group were significantly lower than those of control group(U=62.000,26.500,P<0.05),respectively.The incidence of the complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(x^(2)=4.675,P<0.05),and there were no statistically significant difference in infection and limited incision opening between the two groups(P>0.05).In the satisfaction evaluation,there was a significant difference in appearance satisfaction scores between the observation group(8.89±0.758)and the control group(7.73±0.827)(U=66.000,P<0.05),while there were no statistically significant differences in chewing and language aspects between two groups(P>0.05).Conclusion:The combination of digital technique and 3D printing guide plate has favorable clinical guidance effect in maxillofacial fracture surgery,which can significantly improve surgical efficacy,and reduce the incidence of complications,and obtain higher patient satisfaction.It is worth to be applied in clinical practice.
作者
高晓杰
刘冰
李冰
魏博
慎玲玉
陈鹏
Gao Xiaojie;Liu Bing;Li Bing;Wei Bo;Shen Lingyu;Chen Peng(Department of Stomatology,The First Medical Center,Chinese PLA General Hospital,Beijing 100853,China;Department of Stomatology,Air Force Special Medical Center,Air Force Medical University,Beijing 100142,China)
出处
《中国医学装备》
2024年第5期98-101,106,共5页
China Medical Equipment
基金
军队装备综合研究课题(LB2022B020200)。
关键词
3D打印
手术导板
数字化技术
颌面部骨折
Three dimensional(3D)printing
Surgical guide plate
Digital technique
Maxillofacial fracture
